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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � • Building Department <br /> Date Received Phone Contact for Permitting $13 783 _ 1688 <br /> -7��r�-1T Ti-i- <br /> Owner's Name CITY OF ZEPHYRHILLS REDEVELOPMENT Owner Phone Number <br /> Owner's Address 5335 8TH STREET Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5102 3RD STREET 3��p� �j f�/� LOT# 1,2,3 <br /> SUBDIVISION NA PARCEL ID# 11-26-21-0010-16300-0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADDlALT � SIGN 0 � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK OX FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK COMPLETE DEMOLITION <br /> BUILDING SIZE SQ FOOTAGE � � HEIGHT � �S��• O� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRIGAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> -�f-i-1--1-1-1--��1--�F-F-�-f-4-1-1-1--HHI--��F-�1-i-4-I�f-�FFI--FFI--1-E-F-��-FI-i-1-E-�--1-1-�1-FI--1-FI--F�I--f�I--F-i-1-i�-FI--1- <br /> BUILDER {�] ��n COMPANY CROSS ENVIRONMENTAL SERVICES, INC <br /> SIGNATURE �/���U l/W y , REGISTERED Y/ N FEE CURRE� Y/N <br /> ,4ddress P•O. BOX 1 99, CRYSTAL SPRINGS, FL �icense# CGC062981 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addtess License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary F2cilities&.1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '•**PROPERTY SURVEY required for all NEW construction. <br /> �-1�1..1��1..1..4�{..I.�f�f..1�1..1�1�1..1�1�1..1..1�1.-�1�{..4.f�1..1�1�1..��1..1..4.1..1�f-I..�i-'.�..�7..r�l..l��l..�l�l..f..1�:--�--rC--:�f-1� <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AlC upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />